Elkoplasty, or anaplasty applied to the treatment of old ulcers : also, a new mode of treatment for delayed or non-union of a fractured humerus / by Frank H. Hamilton.

  • Hamilton, Frank Hastings, 1813-1886.
Date:
1854
Catalogue details

Licence: Public Domain Mark

Credit: Elkoplasty, or anaplasty applied to the treatment of old ulcers : also, a new mode of treatment for delayed or non-union of a fractured humerus / by Frank H. Hamilton. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    ELIvOPLASTY, OR AXAPLASTY APPLIED TO THE TREATMENT OF OLD ULCERS. Some writer lias said, “ old ulcers in 1S-30 will be old ulcers in 1SG0,” which, not to be understood always in a literal sense, Was intended only to express, in a brief and pertinent form, the proverbial obstinacy of this class of sores. In most cases, the integument has been broken and de- stroyed by ulceration, and then, usually, bad health, or, per- haps, enlarged veins, have helped to perpetuate the lesion. In other cases, however, the ulcers are directly in conse- quence of severe lacerating injuries, which have at once torn a Way the skin beyond the power of nature to repair ; and that although the health of the body and of the limb maybe perfect. In such cases, the refusal of the ulcers to heal is en- tirely owing to the extensive loss of integument. Actual loss of skin is repaired by one or both of two pro- cesses. By the development of new, from or upon the free margin of the old skin, or by the contraction of the granula- tions and of the cicatrix, in consequence of which, the adja- cent skin is drawn towards the chasm, and made, as it were, to slide over and cover it in. This rule admits of but few exceptions. Occasionally, after a very long delay, the granulations acquire the power of forming new skin at various and isolated points of the sore. This process may now and then be observed in the healing of extensive burns, or, perhaps, in the closing up of